J1105 Medicaid reimbursement rate by state (2026)
Dexmedetomidine, oral, 1 mcg. Medicaid pays a median of $0.63 for J1105 across 17 states, from $0.57 in Nevada to $8.75 in Wisconsin.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- National median
- $0.63units vary by state
- Lowest
- $0.57Nevada
- Highest
- $8.75Wisconsin
What does Medicaid pay for J1105?
17 state Medicaid programs publish a fee-for-service rate for J1105 at the physician psychologist level. The national median is $0.63 (units differ between states). Wisconsin pays the most, $8.75, and Nevada the least, $0.57, a 15.4x spread.
J1105 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 17 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J1105?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $0.63. Wisconsin pays the most ($8.75) and Nevada the least ($0.57).
Which state pays the highest Medicaid rate for J1105?
Wisconsin, at $8.75, effective 2024-01-01.
Do managed-care plans pay the same rate for J1105?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.